| Logan Green, Ph.d. | |
|
494 Main St Apt 1 Cromwell CT 06416-2040 | |
| (860) 632-1296 | |
| Not Available |
| Full Name | Logan Green, Ph.d. |
|---|---|
| Speciality | Psychologist - Forensic |
| Location | 494 Main St, Cromwell, Connecticut |
| Authorized Official Name and Position | Logan Green (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 8606321296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Green, Ph.d. 494 Main St Apt 1 Cromwell CT 06416-2040 Ph: (860) 632-1296 | Logan Green, Ph.d. 494 Main St Apt 1 Cromwell CT 06416-2040 Ph: (860) 632-1296 |
| NPI Number | 1548322423 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548322423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0200X | Psychologist - Forensic | 852 (Connecticut) | Primary |
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